Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BOSCOVS DEPARTMENT STORE LLC
NPI 1255257655
Eyewear Supplier in St. Clairsville, OH

Active since June 29, 2026
67800 MALL RD, ST. CLAIRSVILLE, OH 43950(740) 695-1457 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boscovs Department Store Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSCOVS DEPARTMENT STORE LLC (NPI 1255257655), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in St. Clairsville, Ohio and active in the NPI registry since June 2026. The organization lists Michael Derenzo, Director Of Optical Services, as its authorized official.

NPPES Registry Identity

NPI1255257655
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBOSCOVS DEPARTMENT STORE LLC
Location Address67800 MALL RDSt. Clairsville, OH 43950
Mailing Address4500 Perkiomen AveReading, PA 19606-3946 · (610) 779-2000
Organization SubpartNo
Authorized OfficialMichael DerenzoDirector Of Optical Services · (856) 759-9905
Enumeration DateJune 29, 2026
NPPES CertifiedJune 9, 2026
NPI 1255257655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

67800 MALL RD, St. Clairsville, OH 43950

Other Names 1

Doing Business AsBoscov's Optical

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
67800 MALL RD
ST CLAIRSVILLE, OH 43950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boscovs Department Store LLC's NPI number?

The NPI number for Boscovs Department Store LLC is 1255257655. It was assigned to this organization in the NPPES registry on June 29, 2026. The provider is doing business as Boscov's Optical.

Where is Boscovs Department Store LLC located?

Boscovs Department Store LLC is located at 67800 Mall Rd, St. Clairsville, OH 43950. The listed phone number is (740) 695-1457.

What is Boscovs Department Store LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Boscovs Department Store LLC was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.